Two-year epidemiology of post-COVID-19 conditions in Bangladesh: a cohort study of post-COVID-19 from 12,925 SARS-CoV-2 cases between July and December 2021-2023 in Bangladesh.

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Archives of Public Health Pub Date : 2024-09-04 DOI:10.1186/s13690-024-01358-6

Altaf Hossain Sarker, Md Feroz Kabir, K M Amran Hossain, Sharmila Jahan, Md Zahid Hossain, Tofajjal Hossain, Sohel Ahmed, Raju Ahmed, Md Waliul Islam, Iqbal Kabir Jahid

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引用次数: 0

Abstract

Background: Post-COVID-19 conditions (PCCs), also known as long COVID, is persistently debilitating disorders that need investigation on their incidence, morbidity, and case-fatality rate.

Purpose: The objectives of this cohort study were to determine the incidence, characteristics, case-fatality, morbidity, and recovery of post-COVID-19 symptoms throughout a two-year period of observation.

Methods: This was a population-based cohort study of post-COVID-19 cases among 12,925 SARS-CoV-2 positive individuals in eight administrative districts of Bangladesh between July and December 2021-2023. PCC was diagnosed according to WHO clinical diagnostic criteria, and the screening procedure was completed through a household screening process.

Results: The incidence of PCC was 3.6%, the case-fatality rate was 1.92%, and the recovery rate was 9.0%. The significant predictors of PCC morbidity were geographical distribution, vaccination, comorbidities, and a longer duration of symptoms or multiple symptoms (p < 0.05).

Conclusion: Nearly 465 out of 522 people suffering from PCC are persistent and have a significant disability. However, the rate of recovery was 9.0%. It is necessary to investigate approaches to improve the recovery of PCC in Bangladesh.

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孟加拉国 COVID-19 后两年流行病学：2021-2023 年 7 月至 12 月期间孟加拉国 12,925 例 SARS-CoV-2 病例的 COVID-19 后队列研究。

背景：目的：本队列研究的目的是确定在两年的观察期间，COVID-19 后症状的发生率、特征、病死率、发病率和恢复情况：这是一项基于人群的队列研究，研究对象是 2021 年 7 月至 2023 年 12 月期间孟加拉国 8 个行政区的 12,925 名 SARS-CoV-2 阳性者中的 COVID-19 后病例。根据世界卫生组织的临床诊断标准对 PCC 进行诊断，并通过入户筛查程序完成筛查：结果：PCC 发病率为 3.6%，病死率为 1.92%，治愈率为 9.0%。PCC发病率的重要预测因素是地理分布、疫苗接种、合并症、症状持续时间较长或有多种症状（P 结论：PCC发病率的预测因素是地理分布、疫苗接种、合并症、症状持续时间较长或有多种症状：在 522 名 PCC 患者中，有近 465 人是顽固性患者，并伴有严重残疾。然而，康复率为 9.0%。孟加拉国有必要研究改善 PCC 康复的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Public Health Medicine-Public Health, Environmental and Occupational Health

CiteScore

4.80

自引率

3.00%

发文量

244

审稿时长

16 weeks

期刊介绍： rchives of Public Health is a broad scope public health journal, dedicated to publishing all sound science in the field of public health. The journal aims to better the understanding of the health of populations. The journal contributes to public health knowledge, enhances the interaction between research, policy and practice and stimulates public health monitoring and indicator development. The journal considers submissions on health outcomes and their determinants, with clear statements about the public health and policy implications. Archives of Public Health welcomes methodological papers (e.g., on study design and bias), papers on health services research, health economics, community interventions, and epidemiological studies dealing with international comparisons, the determinants of inequality in health, and the environmental, behavioural, social, demographic and occupational correlates of health and diseases.